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J Am Diet Assoc. 1997 Jan;97(1):37-42.

A worksite program for overweight middle-aged men achieves lesser weight loss with exercise than with dietary change.

Author information

1
Department of Physiology, Royal Melbourne Hospital, University of Melbourne, Parkville, Australia.

Abstract

OBJECTIVE:

To compare changes in total and regional body composition using dual energy X-ray absorptiometry (DEXA) after subjects lost weight through change in diet or exercise.

DESIGN:

A 12-month, randomized, controlled study of two weight-loss interventions-low-fat diet ad libitum or moderate, unsupervised exercise-in free-living, middle-aged men. Compliance was determined at monthly measurement sessions through food records and activity logs; DEXA scans were performed every 3 months.

SUBJECTS/SETTING:

Fifty-eight overweight men (mean body mass index = 29.0 +/- 2.6; mean age = 43.4 +/- 5.7 years) recruited from a national corporation were assigned randomly to diet, exercise, or control groups.

INTERVENTIONS:

One group reduced dietary fat to 26.4% of energy intake but kept activity unchanged; another group self-selected aerobic exercise (three sessions per week at 65% to 75% maximum heart rate) but kept diet unchanged. A control group maintained weight.

MAIN OUTCOME MEASURES:

At 12 months, measurements of weight, total and regional fat mass and lean mass, energy intake, and percentage dietary fat; physical activity indexes.

STATISTICAL ANALYSES:

Results were analyzed using paired t tests and analysis of variance.

RESULTS:

Mean weight loss was 6.4 +/- 3.3 kg in dieters and 2.6 +/- 3.0 kg in exercisers; control subjects maintained weight. DEXA scans revealed that 40% of dieters' weight loss was lean tissue; more than 80% of weight lost by exercisers was fat. Exercisers maintained limb lean tissue and lost fat mass.

CONCLUSIONS:

Greater total weight and lean tissue loss occurred when subjects lost weight through a low-fat diet consumed ad libitum than when subjects participated in unsupervised aerobic exercise. Use of DEXA enabled identification of progressive total and regional changes in fat and lean tissue.

PMID:
8990415
DOI:
10.1016/S0002-8223(97)00015-1
[Indexed for MEDLINE]

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